Letter of Authorization
All information MUST match the current Invoice or Bill “Exactly”
COMPANY NAME
CUSTOMER NAME - Authorized Person as it appears on the current Invoice or Bill
*
First Name
Last Name
CUSTOMER ADDRESS - as it appears on the current Invoice or Bill
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
BILLING TELEPHONE NUMBER - Number the current carrier has on account
*
Please enter a valid phone number.
FULL ACCOUNT NUMBER - That matches the current carriers Invoice or bill
*
ACCOUNT PIN - if applicable
Number(s) porting in. For Toll-Free or Fax Numbers fill out a separate LOA form
*
Bill or Invoice Upload - Recent within the last 45 days
*
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Invoice or Bill that matches this LOA forum
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*
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Regular - Voice & SMS
Toll-Free - Voice & SMS
Regular - Voice ONLY NO SMS
Toll-Free - Voice ONLY NO SMS
Fax Number
International Number
SMS Only
Voice - Toll-Free - Fax - International
RespOrg ID: WLS27
Caller ID Name - Up to 15 characters including spaces
The name that comes up when your dialing out
Email we can notify you the porting status
Optional
Signature
Date
-
Month
-
Day
Year
Date
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